잠시만 기다려 주세요. 로딩중입니다.

Factors Affecting the Time Taken to Determine Brain Death in Patients with Impending Brain Death

Journal of Clinical Neurology 2020년 16권 4호 p.668 ~ 673
김영수, 김도형, 양태원, Kim Min-Hwa, Lee Jeong-Rim, 조원현, 권오영,
소속 상세정보
김영수 ( Kim Young-Soo ) - Gyeongsang National University Hospital Department of Neurology
김도형 ( Kim Do-Hyung ) - Sungkyunkwan University School of Medicine Samsung Changwon Hospital Department of Neurology
양태원 ( Yang Tae-Won ) - Gyeongsang National University Changwon Hospital Department of Neurology
 ( Kim Min-Hwa ) - Korea Organ Donation Agency
 ( Lee Jeong-Rim ) - Korea Organ Donation Agency
조원현 ( Cho Won-Hyun ) - Korea Organ Donation Agency
권오영 ( Kwon Oh-Young ) - Gyeongsang National University Hospital Department of Neurology

Abstract


Background and Purpose: The increased demand for donor organs has made it crucial to keep the organs of patients with impending brain death (PWIBDs) suitable for transplantation during the process of determining brain death. This study aimed to identify the time taken to determine brain death (TT-BD) in PWIBDs and the associated influencing factors.

Methods: This study analyzed data collected by the Korean Organ Donation Agency from 15 hospitals in the Yeongnam region of South Korea. There were 414 PWIBDs eligible for inclusion in this study. The data consisted of the TT-BD for PWIBDs and the potential variables influencing the TT-BD.

Results: The mean age of the 414 PWIBDs was 48.9 years, and 120 of them were female (29.0%). The mean TT-BD was 8.5 days. The presence of spontaneous movements (SMs) and craniotomy significantly affected the TT-BD. The mean TT-BDs were 13.9 and 8.2 days in the PWIBDs with and without SMs, respectively, and 9.8 and 8.0 days in the PWIBDs with and without craniotomy, respectively.

Conclusions: The SMs in PWIBDs and a craniotomy performed immediately before starting the process of determining brain death seem to be related to lengthening the TT-BD.

키워드

brain death; organ transplantation; time; movement; craniotomy

원문 및 링크아웃 정보

등재저널 정보